Organization
MICHAEL J. MCKENNA, MD, PROFESSIONAL CORPORATION
Active
Parent organization
MICHAEL J. MCKENNA, MD, PROFESSIONAL CORPORATION
Other names
McKenna and Ruggeroli Pain Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL J. MCKENNA, MD, PROFESSIONAL CORPORATION
Authorized official
DR. MICHAEL J. MCKENNA MD (OWNER)
(702) 307-7700
Entity
Organization
Contact information
Practice address
6070 S FORT APACHE RD, SUITE 100, LAS VEGAS, NV 89148-5657
(702) 307-7700
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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